AMBIENTUM BIOETHICA BIOLOGIA CHEMIA DIGITALIA DRAMATICA EDUCATIO ARTIS GYMNAST. ENGINEERING EPHEMERIDES EUROPAEA GEOGRAPHIA GEOLOGIA HISTORIA HISTORIA ARTIUM INFORMATICA IURISPRUDENTIA MATHEMATICA MUSICA NEGOTIA OECONOMICA PHILOLOGIA PHILOSOPHIA PHYSICA POLITICA PSYCHOLOGIA-PAEDAGOGIA SOCIOLOGIA THEOLOGIA CATHOLICA THEOLOGIA CATHOLICA LATIN THEOLOGIA GR.-CATH. VARAD THEOLOGIA ORTHODOXA THEOLOGIA REF. TRANSYLVAN
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Authors: OANA MARIA BALTAG, MIHAELA APOSTU, MARIANA CORDUN.
DOI: 10.24193/subbeag.67(3).23
Received 2022 October 17; Revised 2022 October 20; Accepted 2022 October 21; Available online 2022 November 20; Available print 2022 December 20.
pp. 57-67
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Abstract Introduction: Mastectomy surgery in association with local radiotherapy and chemotherapy generates side effects such as: lymphedema, decreased range of motion, chronic pain, cardiotoxicity, neuropathy, premature menopause, infertility, anxiety, depression, fatigue. Decreased range of motion is the most disabling side effect of the treatment. Aerobic and resistive exercises can prevent lymphedema and improve the range of motion of the upper limb on the side of mastectomy. Objective: The purpose of the present study is to verify the effectiveness of an individualized kinetic program, applied to improve the upper limb range of motion after breast cancer surgery. Methods: In this study, 5 subjects (females, aged between 49 and 67) with right radical mastectomy and axillary lympho-dissection were included. They performed a kinetic program twice a week for 6 months and we evaluated the range motion at the level of the upper limb. Results: All the movements performed in upper limb (flexion, extension, abduction, adduction, internal and external rotation) improved, suggesting that the kinetic program is efficient. The average of the flexion movement increased by 35°, from 126° to 161°. The values obtained for the extension movement show an increase of the average by 14.6°. The abduction movement improved from 120° to 170°. At the elbow level, the flexion increased by 24.4° and the extension decreased by 6°. At the wrist level, the flexion increased by 37.4° and the extension increased from 41.8° to 78°. Conclusions: After applying the therapeutic program, the final physical assessments highlights that the range of motion increased in the upper limb.
Key words: breast cancer, range of motion, mastectomy.
